Provider Demographics
NPI:1932815362
Name:SMITH, ASHLEY MICHELLE (MSN, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MICHELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:MSN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 EUCLID AVENUE STE 819
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-3315
Mailing Address - Country:US
Mailing Address - Phone:330-646-7677
Mailing Address - Fax:833-471-6161
Practice Address - Street 1:850 EUCLID AVENUE STE 819
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3315
Practice Address - Country:US
Practice Address - Phone:330-646-7677
Practice Address - Fax:833-471-6161
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X, 106H00000X, 171M00000X
OHRN.406864163WP0808X
OHAPRN.CNP.00330152084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0014647Medicaid
OH10-490-0575OtherANCC
OHAPRN.CNP.0033015OtherOHIO BOARD OF NURSING
OHRN.406864OtherOHIO BOARD OF NURSING